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Organization

MORTAR AND PESTLE INVESTMENTS

Active
Other names
Yates Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
ALBERT YATES (OWNER)
(850) 569-5100
Entity
Organization

Contact information

Practice address
5404 10TH ST, MALONE, FL 32445-3128
(850) 569-5100
(850) 569-5170
Mailing address
5404 10TH ST, MALONE, FL 32445-3128
(850) 569-5100
(850) 569-5170

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PH22292
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019398500
FL
05
031789600
FL
01
2160150
PK
Enumeration date
02/26/2007
Last updated
03/06/2017
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